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Iatrogenic Enamel Lesions with Fixed Multi-bracket Treatment.
Mukesh Kumar1, Sommya Kumari2, Sowmya Shree Guntipally1
1Department of Dentistry, AIIMS, Kalyani, West Bengal, India.
Journal of Pharmacy & Bioallied Sciences
|February 10, 2025
Summary
Fixed orthodontic therapy can cause iatrogenic white spots, particularly on maxillary incisors. Maintaining good oral hygiene is crucial for preventing enamel demineralization during orthodontic treatment.
Area of Science:
- Dentistry
- Orthodontics
- Oral Health
Background:
- Malocclusion necessitates orthodontic correction, often involving fixed appliances.
- Fixed orthodontic appliances are associated with acquired enamel damage.
- Iatrogenic white spots are a significant concern in orthodontic treatment.
Purpose of the Study:
- To determine the incidence of iatrogenic white spots in patients undergoing fixed orthodontic therapy.
- To assess the prevalence of enamel demineralization as a result of orthodontic treatment.
Main Methods:
- Retrospective study design.
- Evaluation of enamel white spots using an imaging technique.
- Comparison of teeth before and after orthodontic therapy.
Main Results:
- Maxillary incisors were the most frequently affected teeth.
- Maxillary posterior teeth showed the lowest incidence of white spot lesions.
- The study included young adults and school-going children from rural backgrounds.
Conclusions:
- Iatrogenic enamel damage is a primary concern for orthodontists.
- Effective oral hygiene practices and demineralization prevention are essential strategies.
- Proactive management is key to minimizing adverse effects of orthodontic treatment.
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